[High conduction block of the brachial plexus using axillary approach].
An original technique of the brachial plexus block from the axillary approach is presented. The recommended technique suggests introduction of a rigid catheter into the paraneural space of the plexus up to the level of the sternoclavicular triangle. This provides for a high efficacy of the anesthesia and prevents development of complications. The methodology was elaborated on the basis of anatomic (n = 20) and clinicoradiological (n = 29) studies. The clinical evidence was obtained from 115 anesthesias for long-term reconstructive and plastic operations on the upper limb. A protocol for conduction anesthesia maintenance by repeated administration of lidocaine, trimecaine, and bupivacaine solutions is offered.
Svetlov
V A
VA
Kozlov
S P
SP
Marupov
A M
AM
Gnezdilov
A V
AV
D000293:Adolescent; D000328:Adult; D001365:Axilla; D001917:Brachial Plexus; D002045:Bupivacaine / Q000008:administration & dosage; D002648:Child; D002675:Child, Preschool; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods; D014288:Trimecaine / Q000008:administration & dosage
D008012:Lidocaine; D014288:Trimecaine; D002045:Bupivacaine
Vysokaia provodnikovaia blokada plechevogo spleteniia iz podmyshechnogo dostupa.